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21. Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic medical record. | PSNet
    psnet.ahrq.gov/issue/failure-recognize-newly-identified-aortic-dilations-health-care-system-advanced-electronic
    August 04, 2021 - Study Failure to recognize newly identified aortic dilations in a health care system … Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic … Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic … Citation Related Resources From the Same Author(s) Enabling a learning healthcare … August 4, 2021 Seroprevalence of SARS-CoV-2 among frontline health care personnel in

22. Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas VA. | PSNet
    psnet.ahrq.gov/issue/pathology-oversight-failures-veterans-health-care-system-ozarks-fayetteville-arkansas-va
    July 14, 2021 - Book/Report Pathology Oversight Failures at the Veterans Health Care System of the … Citation Text: Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville … Care System of the Ozarks in Fayetteville, Arkansas VA. … Louis Health Care System in Missouri. … Care System in Las Vegas.

23. Race differences in reported "near miss" patient safety events in health care system high reliability organizations. | PSNet
    psnet.ahrq.gov/issue/race-differences-reported-near-miss-patient-safety-events-health-care-system-high-reliability
    March 01, 2023 - Study Race differences in reported "near miss" patient safety events in health care … Race differences in reported "near miss" patient safety events in health care system high reliability … Race differences in reported "near miss" patient safety events in health care system high reliability … system. … care.

24. The National Healthcare System Action Alliance for Patient and Workforce Safety. | PSNet
    psnet.ahrq.gov/issue/national-healthcare-system-action-alliance-advance-patient-safety
    April 01, 2024 - Multi-use Website The National Healthcare System Action Alliance for Patient and … Citation Text: The National Healthcare System Action Alliance for Patient and Workforce Safety. … This alliance works with healthcare systems, federal partners, patients and families , and other stakeholders … System Action Alliance for Patient and Workforce Safety. … March 1, 2023 Cybersecurity is Patient Safety: Policy Options in the Health Care Sector

25. Achieving Safe Health Care: Delivery of Safe Patient Care at Baylor Scott & White Health. | PSNet
    psnet.ahrq.gov/issue/achieving-safe-health-care-delivery-safe-patient-care-baylor-scott-white-health
    October 11, 2016 - Book/Report Achieving Safe Health Care: Delivery of Safe Patient Care at Baylor Scott … Citation Text: Achieving Safe Health Care: Delivery of Safe Patient Care at Baylor Scott & White Health … Care: Delivery of Safe Patient Care at Baylor Scott & White Health. … November 10, 2017 Handbook of Human Factors and Ergonomics in Health Care and Patient … May 21, 2019 Cognitive Systems Engineering in Health Care.

26. Developing and deploying a patient safety program in a large health care delivery system: you can't fix what you don't know about. | PSNet
    psnet.ahrq.gov/issue/developing-and-deploying-patient-safety-program-large-health-care-delivery-system-you-cant
    August 03, 2017 - Commentary Developing and deploying a patient safety program in a large health care … Developing and deploying a patient safety program in a large health care delivery system: you can't fix … Developing and deploying a patient safety program in a large health care delivery system: you can't fix … August 3, 2017 Using Health Care Failure Mode and Effect Analysis: the VA National Center … January 2, 2017 Enabling a learning healthcare system with automated computer protocols

27. Toward a safer health care system: the critical need to improve measurement. | PSNet
    psnet.ahrq.gov/issue/toward-safer-health-care-system-critical-need-improve-measurement
    November 03, 2015 - Commentary Classic Toward a safer health care system: the … Toward a Safer Health Care System: The Critical Need to Improve Measurement. … Toward a Safer Health Care System: The Critical Need to Improve Measurement. … June 21, 2016 Restoring trust in VA health care. … April 1, 2015 Preventing health care–associated harm in children.

28. 10,000 good catches: increasing safety event reporting in a pediatric health care system. | PSNet
    psnet.ahrq.gov/issue/10000-good-catches-increasing-safety-event-reporting-pediatric-health-care-system
    April 20, 2022 - care system. … Care System. … care system. … Care System. … Differences in safety report event types submitted by graduate medical education trainees compared with other healthcare

29. 2005 Annual Patient Safety and Health Information Technology Conference: Making the Health Care System Safer through Implementation and Innovation. | PSNet
    psnet.ahrq.gov/issue/2005-annual-patient-safety-and-health-information-technology-conference-making-health-care
    December 24, 2008 - 2005 Annual Patient Safety and Health Information Technology Conference: Making the Health … Care System Safer through Implementation and Innovation. … Care System Safer through Implementation and Innovation. … Care System Safer through Implementation and Innovation. … Care Providers Health Care Executives and Administrators Geriatrics Pediatrics View

30. What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? | PSNet
    psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation
    September 01, 2006 - What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? … What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation?. … care system, in 1997. … care system? … Now some HMOs are like us in that way, and other countries' health care systems run much like the VA.

31. CDC Grand Rounds: preventing unsafe injection practices in the U.S. health-care system. | PSNet
    psnet.ahrq.gov/issue/cdc-grand-rounds-preventing-unsafe-injection-practices-us-health-care-system
    February 27, 2019 - system. … CDC grand rounds: preventing unsafe injection practices in the U.S. health-care system. … CDC grand rounds: preventing unsafe injection practices in the U.S. health-care system. … November 30, 2023 Making health care safer: stopping C. difficile infections. … November 16, 2016 Making health care safer. Think sepsis. Time matters.

32. Systems approach and systems engineering applied to health care: improving patient safety and health care delivery. | PSNet
    psnet.ahrq.gov/issue/systems-approach-and-systems-engineering-applied-health-care-improving-patient-safety-and
    August 12, 2020 - Commentary Systems approach and systems engineering applied to health care: improving … patient safety and health care delivery. … Citation Text: Systems approach and systems engineering applied to health care: improving patient safety … and health care delivery. … care: improving patient safety and health care delivery.

33. Physician leadership is key to creating a safer, more reliable health care system. | PSNet
    psnet.ahrq.gov/issue/physician-leadership-key-creating-safer-more-reliable-health-care-system
    November 17, 2009 - care system. … Citation Text: Physician leadership is key to creating a safer, more reliable health care system. … care system. … November 17, 2009 Barriers to implementation of patient safety systems in healthcare … August 19, 2020 The role of failure mode and effects analysis in health care.

34. Assessing Patient Safety Practices and Outcomes in the U.S. Health Care System. | PSNet
    psnet.ahrq.gov/issue/assessing-patient-safety-practices-and-outcomes-us-health-care-system
    May 21, 2014 - Health Care System. … Health Care System. Farley DO, Ridgely MS, Mendel P, et al. … Health Care System. Farley DO, Ridgely MS, Mendel P, et al. … Care System. … December 9, 2009 Health-Care-Associated Infections in Hospitals: An Overview of State

35. Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system. | PSNet
    psnet.ahrq.gov/issue/wrong-site-nerve-blocks-10-yr-experience-large-multihospital-health-care-system
    January 14, 2011 - Study Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care … Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system. … Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system. … April 12, 2011 Making Health Care Safer II: An Updated Critical Analysis of the Evidence … October 1, 2014 Enabling a learning healthcare system with automated computer protocols

36. Our broken health care system and how to fix it: an essay on health law and policy. | PSNet
    psnet.ahrq.gov/issue/our-broken-health-care-system-and-how-fix-it-essay-health-law-and-policy
    June 08, 2022 - Commentary Our broken health care system and how to fix it: an essay on health law … Citation Text: Our broken health care system and how to fix it: an essay on health law and policy. … The author discusses problems in the U.S. health care system and laws that govern this system and provides … care system and how to fix it: an essay on health law and policy. … November 4, 2020 The limits of current A.I. in health care: patient safety policing in

37. Electronic medical record: a balancing act of patient safety, privacy and health care delivery. | PSNet
    psnet.ahrq.gov/issue/electronic-medical-record-balancing-act-patient-safety-privacy-and-health-care-delivery
    December 21, 2014 - Review Electronic medical record: a balancing act of patient safety, privacy and health … care delivery. … Electronic medical record: a balancing act of patient safety, privacy and health care delivery. … Electronic medical record: a balancing act of patient safety, privacy and health care delivery. … Electronic Health Records October 31, 2023 Towards safe conversational agents in healthcare

38. Educating for the 21st-century health care system: an interdependent framework of basic, clinical, and systems sciences. | PSNet
    psnet.ahrq.gov/issue/educating-21st-century-health-care-system-interdependent-framework-basic-clinical-and-systems
    August 28, 2024 - Commentary Educating for the 21st-century health care system: an interdependent framework … Educating for the 21st-Century Health Care System: An Interdependent Framework of Basic, Clinical, and … Two decades ago , applying systems sciences to health care improvement was an innovative approach. … Educating for the 21st-Century Health Care System: An Interdependent Framework of Basic, Clinical, and … April 17, 2019 Twelve tips for embedding human factors and ergonomics principles in healthcare

39. Healthcare-associated Infections | PSNet
    psnet.ahrq.gov/primer/health-care-associated-infections
    December 15, 2024 - Healthcare-associated Infections Citation Text: Healthcare - Associated Infections. … More than one million HAIs occur across the United States healthcare system every year. … According to data reported to the  National Healthcare Safety Network , the incidence of healthcare-associated … the recommended methods as standard practice in healthcare delivery organizations. … July 14, 2021 Think health care workers are tested often for the Coronavirus?

40. Implementation of a high-reliability organization framework in a large integrated health care system: a pre-post quasi-experimental quality improvement project. | PSNet
    psnet.ahrq.gov/issue/implementation-high-reliability-organization-framework-large-integrated-health-care-system
    July 14, 2018 - care system: a pre-post quasi-experimental quality improvement project. … Implementation of a high-reliability organization framework in a large integrated health care system: … Implementation of a high-reliability organization framework in a large integrated health care system: … May 3, 2023 A framework for the analysis of communication errors in health care. … August 10, 2022 Why accountability sharing in health care organizational cultures means